Madonna in for a Tune-Up?

10/10/2007 4:30 PM PDT

Madonna in for a Tune-Up?

Madonna was looking a little under the weather yesterday -- and made a two-hour trip to a physician's office. Doctor don't preach!

TMZ caught Madge heading into 317 Medical Arts Center, with the roots-sportin' singer coughing on her way into the building. The material hurl!

So what's up, Doc? TMZ did a little digging and found the building tenants attend to a large variety of medical ailments and options -- including facial reconstruction, pediatric neurosurgery, hair removal and pain management.